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24/10/80 hour rules of ACGMETimothy J Coats firstname.lastname@example.org
Fri, 14 Jun 2002 14:50:31 BST
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> We need to ensure those involved in training and service provision in > surgery are aware of worldwide trends and approaches to the issues > which is where trauma.org has huge relevance. > > Whats the UK view? What about Europe? What happens in Asia, or South > America. Ian, The UK has a limit on working time that is common throught the European Union (EU Working Time Directive). Our trainees are currently limited to an average 56 hours a week, in a complex system that also has limits of maximum duty periods (16 hours), minimum amount of rest between duty periods, maximum amount of work that can be at 'anti-social hours' (30%) etc. This maximum limit will go down to 48 hours a week from 1st December 2002. If a training post does not comply to these rules there is a large increase in salary (100% or more) for the trainee (making them earn more than me - but I'm not bitter!!!). The extra percentage is rising with time to make non- compliant posts financially untenable for hospitals. A new contract for consultants has just been announced in the UK around a 40 hour week (night time/weekend resident is included in the 40 hours, night time/weekend 'on call' from home is in addition to 40hrs). If anything the training time is being shortened in the UK due to our urgent need for thousands of new doctors. (with proposals for the current 7 or 8 year postgraduate training being reduced to 5 or 6). Shorter training and half or a third of the hours - difficult to see how high levels of technical expertise or experience will be accumulated. (See the Royal College of Surgeons of England website for a discussion of the severe problems that these issues bring up for surgical training). Seems like a world-wide issue. Tim. Timothy J Coats MD FRCS FFAEM Senior Lecturer in Accident and Emergency / Pre-Hospital Care Royal London Hospital, UK.